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SECTION: Health Care Coverage and Utilization Survey Entry ...

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<strong>Survey</strong> <strong>Entry</strong> - 2011 College Student <strong>Health</strong> <strong>Survey</strong>http://internetstudy.cbsol.com/<strong>Survey</strong>/B<strong>Survey</strong>.asp<strong>SECTION</strong>: Personal Safety8 SURVEY PAGE: 8 of 26 pages You have completed 0 of 5 Items on this pageThe following questions pertain to issues related to personal safety. When answering the questionsplease use the following definitions: sexual intercourse - oral, vaginal, or anal penetration; sexualtouching - touching of breasts, buttocks, or genitals.7 Within the past 12 months, howoften did you:**(Mark the appropriate column for each ofthe three questions)**N/A (Didn'tdo thisactivitywithin thelast 12months) Never SometimesMost of thetimeAlwaysWear a helmet when you rode a bicycle?Wear a helmet when you rode a motorizedtwo-wheeled vehicle?Text while driving?9 Within the past 12 months have you ridden in a car with a driver who has been impaireddue to alcohol consumption?YesNoDon't know10 Within the past 12 months were you in a physical fight?YesNoSUBMIT RESPONSES - Updates will be saved. You will be taken to the ANSWER REVIEW PAGE.SKIP THIS PAGE - No updates will be saved. You will be taken to the OVERALL SURVEY SUMMARYPAGE.1 of 1 5/10/11 3:00 PM

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